Sexuality in Patients With Bladder Cancer: Considerations, Recommendations and Uro-Oncologic Approach

Bladder cancer ranks ninth in global cancer frequency and fifteenth in Colombia, with a prevalence of 1.9 per 100 000 inhabitants over 5 years (2015–2020), predominantly affecting men in 2022. Due to increasing global cases and the complexity of available medical and surgical treatments, its direct association with sexual dysfunction in both men and women over the years has highlighted the clinical importance of managing sexual health. Our objective was to conduct a literature review to assess the consequences of the effects on sexuality in patients with bladder cancer and tools that can be implemented. Early diagnosis, treatment possibilities, rehabilitation and multidisciplinary management have become crucial for patients' medical outcomes. Literature review on current surgical techniques for preserving survivors' sexual function, sexual functionality consequences and advances in management for adequate physical, psychological, and social recovery enables clinicians to provide focused medical care to improve individuals' quality of life, recognising sexuality as a fundamental aspect of societal reintegration. The sexuality of patients with bladder cancer is affected mainly by the interventions that occur in it; therefore, it is necessary to train and implement many elements that correct this position.